Andrea Alvalle Dentist LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ANDREA ALVALLE DENTIST LLC

Practice address

1238 Ave Munoz Rivera
Ponce, PR 00717-0639

Phone

(787) 840-2153

NPI assigned

Aug 30, 2024

Last updated

Aug 30, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrea Nicole Alvalle SantiagoNPI 1699462580

Title

DMD-Owner

Phone

(787) 384-4954

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Nicole Alvalle Santiago, DMD

  • General Practice Dentistry
  • Ponce, PR
  • NPI 1699462580
  Medicare reassignment NPD Authorized official
• Robert Feliciano Melendez, DMD

  • General Practice Dentistry
  • Coto Laurel, PR
  • NPI 1952758815
  NPD (past)
• Edward Ricardo Guzman Rivera, DMD

  • Dentist
  • Ponce, PR
  • NPI 1427316603

  General Practice

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1255165221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 AVE MUNOZ RIVERA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170639",
            "telephone_number": "787-840-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 AVE MUNOZ RIVERA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170639",
            "telephone_number": "787-840-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA ALVALLE DENTIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "ALVALLE SANTIAGO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "DMD-OWNER",
        "authorized_official_telephone_number": "787-384-4954"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Edna Cristina Andujar, LND
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• General Practice Dentistry in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.